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Organization

SURGERY ALLIANCE LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HAZEL THOMAS (ADMINISTRATOR)
(330) 821-7997
Entity
Organization

Contact information

Practice address
975 S SAWBURG RD, ALLIANCE, OH 44601-3515
(330) 821-7997
Mailing address
975 S SAWBURG RD, ALLIANCE, OH 44601-3515
(614) 430-5723

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0177393
OH
01
2080731
UNITED HEALTH CARE
01
CC4813
MEDICARE RAILROAD
Enumeration date
10/31/2006
Last updated
04/20/2008
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